Laparoscopic treatment of uterine myomas - long-term results and pregnancy outcome

Abstract

When uterine myomas are enucleated by pelviscopy (laparoscopy), it is more difficult to find all myomas and to close the hysterotomy than in laparotomy. It has been proposed that later pregnancies are more prone to complications, in particular uterus rupture, and that amelioration of symptoms is inferior. Since 1988, we have performed more than 95% of the myomectomies in our clinic by pelviscopy. In the years 1995-1999, we sent questionnaires to 1143 patients who had undergone an enucleation of uterine myomas at least 2 years previously.

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